| NPI | 1578304671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011075) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5731) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-10-09 |